中国临床解剖学杂志 ›› 2010, Vol. 28 ›› Issue (1): 31-.

• 应用解剖 • 上一篇    下一篇

桡神经浅支皮下段的解剖学特点及临床意义

王 培, 孙 勃, 杜元良, 杨振军, 孙 贺   

  1. 承德医学院附属医院骨外一科,  河北   承德    067000
  • 收稿日期:2009-03-26 出版日期:2010-01-25 发布日期:2010-02-03
  • 通讯作者: 孙 贺,副主任医师,E-mail:Sunhe1088@163.com E-mail:cdgkwp@sina.com.cn
  • 作者简介:王 培(1975-),男,河北承德市人,硕士,主治医师,主要从事骨科创伤研究

Anatomic features and clinical significance of superficial branch of radial nerve

WANG Pei, SUN Bo, DU Yuan-liang, et al.   

  1. Department of Orthopedics, Affiliated Hospital of Chengde Medical College, Chengde 067000, China
  • Received:2009-03-26 Online:2010-01-25 Published:2010-02-03

摘要:

        目的  报道桡神经浅支皮下段的解剖学特点及临床意义。 方法  选用福尔马林固定的成人上肢标本42例,解剖观察桡神经浅支的走行及分支分布特点。 结果  桡神经浅支距桡骨茎突(8.33±1.16)cm处自肱桡肌深层浅出,沿肱桡肌和桡侧腕屈肌之间于皮下前行,在桡骨茎突近端(4.58±1.06)cm处分为内、外侧支。外侧支在桡骨茎突掌侧面前行至拇指桡背侧成为拇指的感觉神经,内侧支则在桡骨茎突的近侧段绕向背侧,于桡骨茎突远侧(1.32±0.26)cm处在1、2掌骨中段水平分为第1、2掌背皮神经,进而成为手背桡侧半的感觉神经。桡神经浅支浅出处和肱桡肌的夹角为(20.7±3.16)°,桡神经浅支分为内、外两侧支间的夹角为(18.0±4.4)°,桡骨茎突水平内、外侧支的间距为(1.4±0.23)cm。结论   (1)根据桡神经浅支的解剖学特点 ,在不同的损伤平面进行修复,以最大限度的恢复手部的感觉;(2)在应用含有桡神经浅支的皮瓣修复创面时,尽可能以神经为轴线,将神经置于皮瓣中央位置,以提高皮瓣的成活率和手术的质量。

关键词:  , 桡神经浅支, 体表定位, 应用解剖

Abstract:

        Objective  To report anatomical features and clinical significance of subcutaneous segment of superficial branch of radial nerve.  Methods  42 adult upper limb specimens were applied in this study to dissect and observe the running and distribution of superficial branch of radial nerve.  Results   The superficial branch of radial nerve emerged from the brachioradialis at the distance of (8.33±1.16)cm before reaching styloid process of radius, then ran ahead between brachioradialis and flexor carpi radialis subcutaneously, at the distance of 4.58cm before reanching styloid process of radius, which divided into medial and lateral branch. The lateral branch ran ahead at the facies volaris of the styloid process of radius and became the sensory nerve of the thumb. At the distance of (1.32±0.26)cm and at the proximal end of styloid process of radius, the medial branch went dorsally divided into 2 branches at the midpiece of the first and second metacarpal bone, then became the sensory nerve of the hand dorsal. The angel between superficial branch of radial nerve and the brachioradialis was (20.7±3.16)°, The angel between medial and lateral branch was (18.0±4.4)°,and the length between them at the level of styloid process of radius was (1.4±0.23)cm.  Conclusions   In clinic, the superficial branch of radial nerve should be repaired as far as possible according to different injuried level. For elevating the operation quality, the wound surface should be repaired by skin flap containing superficial branch of radial nerve, and the superficial branch have to be put at the center of the skin flap.

Key words: Superficial branch of radial nerve, Body surface location, Applied anatomy

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